Jeffrey John Pappas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0170C Issued in AL

Practice address

1015 Montlimar Dr
Suite a-210
Mobile, AL 36609-1713

Phone

(251) 343-4104

Fax

(251) 343-4789

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellness Collective LLCGroup PAC ID 6800252628, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpappas@twcl-al.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellness Collective LLC

  • Counselor
  • Mobile, AL
  • NPI 1740984368

  Clinical

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1124186671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MONTLIMAR DR",
            "address_2": "SUITE A-210",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091713",
            "telephone_number": "251-343-4104",
            "fax_number": "251-343-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MONTLIMAR DR",
            "address_2": "SUITE A-210",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091713",
            "telephone_number": "251-343-4104",
            "fax_number": "251-343-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0170C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "631049953",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hercules Panayiotou, M.D.
• Babu Soumya Panickessery, MD
• Alana Panmee
• Nirav Bharatbhai Pansuriya
• Amit Pant, MD
• Nicholas J Pappas, LCSW, LLC, LCSW
• Paradise Residential LLC
• Christine Paragone, PA
• Madison Claire Parfait
• Kevin James Parham

• Clinical Social Worker in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.